摘要
目的基于随访数据探讨学龄前儿童园外户外活动不足、视屏时间过长及睡眠时间不充分的可变决定因素,为开展相关健康教育和干预措施提供科学依据。方法2020年9月—2021年9月对4所幼儿园的819名学龄前儿童(3~6岁)父母/监护人进行了1年随访调查,调查了学龄前儿童的园外户外活动时间、视屏时间、睡眠时长及母亲/家庭相关因素等,并通过多因素Logistic回归模型等进行统计分析。结果当调整了相关因素之后,学龄前儿童随访户外活动、视屏时间及睡眠时间都与其自身的基线水平密切相关(χ^(2)=4.68、19.74、8.74,P<0.05);并且,基线母亲视屏时间(OR=2.01,95%CI:1.36~2.99)、屏幕可及性好(OR=1.62,95%CI:1.14~2.31)与学龄前儿童随访视屏时间超标有关;基线母亲户外活动不足(OR=2.17,95%CI:1.48~3.18)、户外活动场所较少(OR=1.55,95%CI:1.11~2.17)与学龄前儿童随访户外活动不足有关;基线学龄前儿童户外活动不足(OR=1.42,95%CI:1.01~1.99)、非母亲照护者(OR=1.63,95%CI:1.16~2.30)与学龄前儿童随访睡眠时长不足有关。结论母亲不良的相关行为、物理环境及照护人非母亲等因素是学龄前儿童园外户外活动不足、视屏时间过长以及睡眠时间不充足的可变决定因素。
Objective To explore the modifiable determinants of the lack of outdoor after-school activities,prolonged screen time and insufficient sleep duration in preschoolers,in order to provide scientific reference for health education and intervention.Method From September 2020 to September 2021,a total of 819 parents of preschool children(3-6 years old)were recruited in this study and were investigated twice by 1-year interval,and the longitudinal data were statistically analyzed by multivariate Logistic regression model.Results Insufficient outdoor activities,prolonged screen time and insufficient sleep duration of preschool-aged children were correlated with their baseline levels(χ^(2)=4.68,19.74,8.74,P<0.001).The maternal screen time(OR=2.01,95%CI:1.36-2.99)and screen accessibility(OR=1.62,95%CI:1.14-2.31)at baseline were correlated with the follow-up screen time of preschool-aged children.Lack of maternal outdoor activities(OR=2.17,95%CI:1.48-3.18)and fewer outdoor venues(OR=1.55,95%CI:1.11-2.17)at baseline were associated with the follow-up insufficient outdoor activities in preschoolers.Insufficient outdoor activities(OR=1.42,95%CI:1.01-1.99)and non-maternal caregivers of preschoolers(OR=1.63,95%CI:1.16-2.30)at baseline were related to the lack of sleep duration in preschoolers.Conclusions Adverse maternal behaviors,poor home-based physical environments and caregivers who are not mothers are the modifiable determinants of insufficient outdoor after-school activities,prolonged screen time and insufficient sleep duration in preschool children.
作者
叶孙岳
王海棠
YE Sunyue;WANG Haitang(Institute of Child Development,Department of Preschool Education,Jiaxing University,Jiaxing,Zhejiang 314001,China)
出处
《中国儿童保健杂志》
CAS
CSCD
2023年第8期836-840,共5页
Chinese Journal of Child Health Care
基金
浙江省高校国内访问学者“教师专业发展项目”(FX2021054)。
关键词
幼儿
体力活动不足
屏幕时间
睡眠时间
母亲照护
preschool children
insufficient physical activity
screen time
sleep duration
maternal care
